Name With Initials
*
Ex: M T Perera
Full Name
*
Ex: Manjula Theekshana Perera
Address
*
Ex: 1234 Main St Colombo
E-mail
*
Ex: manjula@sample.com
Phone 1
*
Ex: 0712345678
Phone 2
NIC Number
*
Ex: 199312345678
Dat of Birth
*
Ex: 2005-01-01
Admission Year
*
2011
Admission Class
*
Ex: 1-Nelum or 8-C
Admission Number
*
12345
Official
***
The above section should be filled out by an office bearer of JOBU
If all the information is correct,
Register him as a JOBU member
